Dissemination of Evidence-Based Health Disparity Interventions

我们建议让克利夫兰的社区和机构参与传播基于证据的健康差异干预措施。我们将建立在我们以前的工作，并集中在两个相互关联的和典型的主题：肾移植和器官捐赠。移植和捐赠影响到许多人，并在美国观察到一些最显着的健康差异。 研究核心包括以下项目：（a）在4个移植中心和1800名终末期肾病患者中传播移植导航干预，（B）在6所大学和4000名大学生中传播在线器官捐赠视频干预。研究培训/教育核心包括：（a）招收学生，特别是来自少数民族背景的学生，参加与健康差距有关的教育和服务学习方案;（B）支持初级教师，特别是来自代表性不足的群体的教师，促进有助于减少健康差距的研究和教学。社区参与/外联核心将向社区传播研究和评价技能。行政核心将协调和促进项目/核心之间的互动，提供共享资源和人员，协助其他社区努力解决差异，领导与其他NIMHD综合卓越中心的互动，传播调查结果，并制定未来的举措。 拟议项目的重点是传播新的、基于证据的健康差距干预措施。我们的应用程序的其他优势包括通过社区范围内的方法，强大的机构承诺和研究团队的生产力的项目选择。此外，拟议项目的设计不仅是为了解决健康差距的重要方面，而且也是为了为今后努力在广泛的条件下实现可衡量的差距缩小奠定基础。

We propose to engage Cleveland's communities and institutions to disseminate evidence-based health disparity interventions. We will build on our previous work and focus on two inter-related and prototypical topics: kidney transplantation and organ donation. Transplantation and donation affect many individuals and have some of the most striking health disparities observed in the United States. The Research Core includes projects that (a) disseminate a transplant navigator intervention across four transplant centers and 1800 end stage renal disease patients and (b) disseminate an online organ donation video intervention across 6 universities and 4000 college students. The Research Training/Education Core involves (a) recruiting students, particularly from minority backgrounds, into educational and service learning programs related to health disparities and (b) supporting junior faculty, particularly from underrepresented groups, to foster research and teaching that can contribute to reducing health disparities. The Community Engagement/Outreach Core will disseminate research and evaluation skills to communities. The Administrative Core will coordinate and foster interactions across projects/cores, provide shared resources and personnel, assist in other community efforts to address disparities, lead interactions with other NIMHD Comprehensive Centers of Excellence, disseminate findings, and develop future initiatives. The proposed projects focus on disseminating novel, evidence-based health disparity interventions. Other strengths of our application include selection of projects through a community-wide approach, a strong institutional commitment, and the productivity of the study team. In addition, the proposed projects have been designed not only to address important aspects of health disparities but also to set the stage for future efforts to achieve measurable reductions in disparities for a broad range of conditions.